Fig. 4. Embolization with the packing technique for bleeding after pancreaticoduodenectomy with HA reconstruction. (A) Enhanced computed tomography shows pseudoaneurysm (arrow) and intra-abdominal hemorrhage around the liver surface. (B) Celiac artery angiography shows pseudoaneurysm at the reconstructed right HA stump (arrow) and irregular arterial wall of the proper HA. (C) Appropriate SG devices are not prepared given the emergency setting. The pseudoaneurysm was embolized with the packing technique to maintain the HA flow (arrow). (D) Next day, rebleeding occurred, and expansion of the embolized pseudoaneurysm and another pseudoaneurysm at the distal portion are visualized (arrowheads). (E) SG placement using VIABAHN® is performed (arrowheads). HA, hepatic artery; SG, stent graft.
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